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Functional Integrative Rehabilitation Education

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Building a Better Bridge Exercise

 
 
Silvrback blog imageUsing bridge exercises? Want to make it more effective? Here's one simple way: bend the weight bearing knee to 135 degrees rather than the traditional 90 (1) . It preferentially activates the g max and med more (relatively, compared to the hamstring ; the actual values for the max and med remained similar) and the hamstring . . .

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February 28, 2018

Acupuncture and Muscular endurance

I was treating patient with low back pain that had decreased lumbar endurance the other day utilizing both spinal manipulation and acupuncture, along with endurance based exercise. Incidentally, you should be able to hold a "superman" pose with your arms at your sides for approximately 150 seconds (1). The patient has been continuing to . . .

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February 22, 2018

Proprioception and Needling

Get the most out of what you do!

 

When it comes to needling and exercise, proprioception is King.

What is proprioception? It is body position awareness; ie: knowing what your limbs are doing without having to look at them. We talk about this all the time in our seminars. Some studies use specific points, others general ones, but they boil down to "needling improves . . .

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February 06, 2018

The SCM and Gait

We remember that we have 3 systems that keep us upright in the gravitational plane: The visual system, The vestibular system and the proprioceptive system. As we age, we seem to become more dependent upon the visual system to maintain stability of the head (which is largely under the purview of the vestibular system).  Older folks seem . . .

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January 12, 2018

The 1st MTP

Functional Anatomy, Trigger Points and More...

Good Morning

 

I just released a new video excerpted from a recent Level 2 TPDN course. It's about one of my favorite articulations, the 1st MTP. One of the most important and most distal joints involved with the gait cycle whose dysfunction leads to a constellation of problems north in the kinetic chain.

 

Enjoy : )

 

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October 02, 2017

Beyond Needling Trigger Points

Beyond the Trigger Point

Many of us needle. We are taught to dry needle trigger points and sometimes (especially in the seminars I teach), to needle the segmental innervation of the muscle involved. But should we do more? I think so, and here is one paper on incorporating needling myofascial meridians along with trigger points that supports . . .

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September 25, 2017

The Quadratus Femoris

An often overlooked culprit

We often find clinically that the quadratus femoris as becoming the 1st dysfunctional muscle of the deep 6 external rotators (1) and its pain referral pattern can mimic the piriformis (2) and piriformis syndrome (3) as well as hamstring insertional tendinitis.  It has also been implicated in some cases of femoroacetabular . . .

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May 18, 2017

Archive

All Categories: needling(44) tpdn(39) acupuncture(29) dry needling(27) trigger point dry needling(16) gait(15) trigger point dry needling seminar(13) trigger point dry needling instruction(13) dry needling instruction(11) deep needling(11) muscle layers(10) rehab(10) peroneus longus(10) muscle(9) peroneus(9) trigger point dry needling seminars(9) dry needling seminar(8) rehabilitation(8) muscle action(7) intramuscular therapy(7) gluteus maximus(7) trigger point seminar(7) education(7) posterior(7) foot(7) myofascial(6) trigger point dry needling course(6) trigger point dry needling courses(6) intramuscular(6) dry needling course(6) dysfunction(6) gluteus minimus(6) gluteus medius(6) instability(5) continuing education(5) muscles(5) clinical exam(5) 1st mtp(5) course(5) rectus(5) hip(5) seminar(4) neurology(4) gluteus(4) lumbar(4) vastus intermedius(4) femoris(4) vastus lateralis(4) spinal instability(4) lateralis(4) lumbar instability(4) ankle(4) rectus femoris(4) quadratus(4) exam(4) large diameter afferents(4) glute(4) fiber(3) afferents(3) capitis(3) obliquus(3) chronic(3) spacial summation(3) temporal summation(3) superior(3) hip flexor(3) suboccipital muscles(3) minor(3) ppd(3) tibialis(3) major(3) vastus(3) psoas(3) tibialis posterior(3) gait cycle(3) facilitation(3) extensor digitorum brevis(3) iliacus(3) cuboid(3) large(3) 1st ray(3) soleus(3) suboccipital(3) multifidus(3) continuing(3) headaches(3) fibers(3) nerve(3) sensory(3) headache(3) trigger(3) stimulation(3) inferior(3) vascular changes(2) walking(2) exercise(2) pain(2) flexor(2) changes(2) vascular(2) sensory nerve fibers(2) counting(2) diameter(2) summation(2) temporal(2) clinical(2) cervical instability(2) cervical(2) meridians(2) sensation(2) ehb(2) extensor hallucis brevis(2) spine(2) therapy(2) neck(2) quadriceps(2) trapezius(2) shoulder pain(2) shoulder(2) scapula(2) cai(2) gon(2) levator scapula(2) levator(2) joint(2) back(2) low(2) lbp(2) fracture(2) navicular(2) extensor digitorum longus(2) obliquus capitis inferior(2) rectus capitis inferior(2) hamstring(2) latissimus dorsi(2) 1st(2) plantae(2) quadrates plantae(2) intrinsics(2) gastroc(2) proprioception(2) extension(2) hip extension(2) reciprocal inhibition(2) inhibition(2) reciprocal(2) proprioceptive(1) denervation(1) spinal(1) technique(1) vibration(1) lift(1) multifidus lift test(1) low back pain(1) vibratory sense(1) sense(1) deep(1) vibratory(1) bridge(1) ankle rocker(1) labrum(1) meridian(1) divergence(1) convergence(1) obturator externus(1) flexion(1) dorsiflexion(1) dorsi(1) layers(1) peroneus brevis(1) quadratus femoris(1) hip pain(1) insertional tendinitis(1) iliotibial band(1) reverse(1) it band(1) tensor fascia lata(1) metatarsal phalangeal(1) metatarsal(1) phalangeal(1) posterior oblique sling(1) oblique(1) sling(1) tfl(1) test(1) function(1) ischemic(1) it(1) posterior chain(1) superficial(1) compression(1) engineering(1) electrical(1) flexor digitorum longus(1) post treatment soreness(1) qp(1) needle(1) iliocapsularis(1) scm(1) sternocleidomastoid(1) sterno(1) cleido(1) mastoid(1) gastrocnemius(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) greater occipital nerve(1) vastus medialis(1) electrical stimulation(1) thoracic spine(1) thoracic(1) upper(1) calcaneo cuboid(1) brevis(1) scalene(1) scalenes(1) scalaneus(1) anterior(1) middle(1) cadence(1) speed(1) calcaneocuboid(1) locking mechanism(1) hip extensor(1) parkinsons(1) hallicis(1) pttd(1) tmj(1) temporomandibular(1) temporomandibular joint(1) hallucis(1) capsule(1) extensor(1) knee(1) osteoarthritis(1) endurance(1) home

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